Active NPI
Daniel C. Holland
- Clinical Social Worker
- Indianapolis, IN
National Provider Identifier
1972522597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34001009A
- Practice address
- 8181 Harcourt Rd
Indianapolis, IN 46260-2578 - Phone
- (800) 257-8715
- Fax
- (800) 819-1655
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34001009A | IN | Primary |
Addresses
Primary practice location
8181 Harcourt Rd
Indianapolis, IN 46260-2578
Mailing address
9130 Tower Bridge Rd Apt B
Indianapolis, IN 46240-5451
Phone (317) 848-1355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00286646 | Other | IN | RAIL ROAD |
| 000000387209 | Other | IN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972522597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9130 TOWER BRIDGE RD APT B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462405451",
"telephone_number": "317-848-1355",
"fax_number": "317-840-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8181 HARCOURT RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602578",
"telephone_number": "800-257-8715",
"fax_number": "800-819-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "DANIEL",
"middle_name": "C.",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34001009A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD",
"identifier": "P00286646",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000387209",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.